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Below-Knee Prosthesis Protective Cover, Custom-Shaped

Arkansas rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Rates data updated July 2026.

How much does Below-Knee Prosthesis Protective Cover, Custom-Shaped cost?

$355

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $380,189 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$275 to $355
FacilityA hospital or hospital-owned outpatient department$380,189$851 to $758,578

How much rates vary

Facilitymedian $380,189 · 10th to 90th $355 to $891,251Professionalmedian $331 · 10th to 90th $209 to $479
$1K$10K$100K$1Mfacility $380,189professional $331

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$346.74
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$478.63
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$478.63

Where Arkansas sits

The same service costs 2.8 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arkansas· 39th of 51

$355

HI $794NE $282

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.